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The fourth perspective, social ecology, focuses our attention on understanding individual health and lives as influenced by factors outside of immediate environments such as families, relationships, community, and society (McLeroy et al., 1998). The social ecological perspective provides a framework to examine individual and population-level determinants of health (HHS, 2000, 2011). This framework can be used to think about the effect of environment on individual’s health and different ways to approach health interventions. Considering the life-course and social ecology perspectives, we note that the population of older LGBT people is distinct from the rest of the contemporary LGBT community in its social history. Today’s older LGBT Highlights from the 2015 Denver convening: Evaluating and adults were born, and most Enhancing Aging Network Outreach to LGBT Older Adults came of age, before the 1969 Stonewall Inn Riots, Social and physical isolation considered the start of the modern Gay Liberation Movement (Morrow, 2001; Isolation has indirect effects on how LGBT older adults Fredriksen-Goldsen & interact with others and seek health care. Reynaldo Mireles, Muraco, 2010). The preProgram Manager at SAGE of the Rockies, noted many LGBT Stonewall era was a time in older adults wait longer to ask for help and feel they cannot which homosexuality was reveal their sexual orientation identity to providers. LGBT criminalized and considered a older adults also report feeling invisible at LGBT events such mental illness. Prejudice, as pride festivals. Kathleen Sullivan, Director of Senior stigma, violence, and Services Department at L.A. LGBT Center and Chris Kerr, discrimination prevailed Clinical Director of Montrose Center in Houston Texas both throughout the social fabric shared that LGBT older adults who live outside cities or far and institutions of the U.S. from areas with LGBT populations are isolated from LGBT Sexual minorities, especially programs and services. Chris Kerr of Montrose Center in gay men, were perceived as Houston, Texas also reported that many LGBT older adults “interested in seducing travel long distances to find safe and friendly services and innocent others” into their argued that peer outreach may be an effective approach to gay lifestyles (Morrow, 2001, reaching aging LGBT populations. p.155). This social environment led many LGBT individuals to conceal sexual and gender minority identities (Morrow, 2001; Fredriksen-Goldsen & Muraco, 2010; Kimmel et al., 2006). As we study the population of older LGBT individuals in today’s more accepting social environment, we ought to consider the influences of the social environment on their life experiences, exposure to stress and resilience, and health along their entire life-course. 5

Lgbt aging a review  

This report is a review of existing literature of lesbian, gay, bisexual, and transgender (LGBT) older adults and provides recommendations f...